Mills, Shane Bradley

Mills, Shane Bradley is an individual health care provider with primary practice located at 16420 Rr 620 Ste 104 , Round Rock TX 78681-5794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mills, Shane Bradley can be contacted via phone (512) 250-7000.

Contact Information

Primary practice address
16420 Rr 620 Ste 104 Round Rock TX 78681-5794
Phone: (512) 250-7000
Fax: (512) 250-7004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H8260 Texas

Profile Details

NPI number 1730176231
LBN Legal business name Mills, Shane Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730176231 NPPES
Texas Other H8260 STATE MEDICAL LICENSE

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